| Radiant Soul Llc | |
|
845 W Center St Ste L200 Pocatello ID 83204-4205 | |
| (208) 943-8838 | |
| Not Available |
| Full Name | Radiant Soul Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 845 W Center St Ste L200, Pocatello, Idaho |
| Authorized Official Name and Position | Jennifer Beckstead (OWNER) |
| Authorized Official Contact | 2089438838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Soul Llc 845 W Center St Ste L200 Pocatello ID 83204-4205 Ph: (208) 943-8838 | Radiant Soul Llc 845 W Center St Ste L200 Pocatello ID 83204-4205 Ph: (208) 943-8838 |
| NPI Number | 1992676274 |
|---|---|
| Provider Enumeration Date | 09/17/2025 |
| Last Update Date | 09/17/2025 |
| Certification Date | 09/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992676274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Allies Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Lander St, Pocatello, ID 83201 Phone: 208-234-2094 Fax: 208-234-2637 | |
Lighthouse For Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave, Suite D, Pocatello, ID 83201 Phone: 208-232-2908 Fax: 208-232-5423 | |
Antler And Moss Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 Ash St, Pocatello, ID 83201 Phone: 208-252-5087 | |
Apex Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave, Suite C-3, Pocatello, ID 83201 Phone: 208-904-0225 Fax: 866-704-4580 | |
Behavioral Reform Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Yellowstone Ave Ste D, Pocatello, ID 83201 Phone: 208-238-9400 Fax: 208-238-9401 | |
Psychological Assessment Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Broncho Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 E Ross Fork Road #41, Pocatello, ID 83202 Phone: 208-220-7520 |